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PIEDMONT HEALTHCARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PIEDMONT HEALTHCARE INC (EIN 58-1503902)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201441349349303264
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T11:18:21-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN BLVD SUITE 1000AddressLine1
CityATLANTACity
StateGAState
ZIP Code30308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581503902EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Piedmont Healthcare IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MARIE GAFFNEYInCareOfName
Name ControlPIEDNameControl
Phone4044251303Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11968 Peachtree Road NWAddressLine1
Address Line2SuiteAddressLine2
CityAtlantaCity
StateGAState
ZIP Code303091285ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCharlie HallName
TitleEVP/CFOTitle
Date Signed2014-05-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMr Kevin BrownNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11968 Peachtree Road NWAddressLine1
CityAtlantaCity
StateGAState
ZIP Code30309ZIPCode
FieldValueIRS element (for citing)
Gross Receipts99998160GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.piedmont.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionPIEDMONT HEALTHCARE, INC. ("PHC") IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF, TO MANAGE THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF ITS SUBSIDIARIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1045TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year66261ContributionsGrantsPriorYear
Contributions Grants Current Year321498ContributionsGrantsCurrentYear
Program Service Revenue Prior Year68959308ProgramServiceRevenuePriorYear
Program Service Revenue CY98831355ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year-3872InvestmentIncomeCurrentYear
Other Revenue Prior Year998818OtherRevenuePriorYear
Other Revenue Current Year845307OtherRevenueCurrentYear
Total Revenue Prior Year70024387TotalRevenuePriorYear
Total Revenue Current Year99994288TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22806269SalariesEtcPriorYear
Salaries Etc Current Year40631232SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year67556397OtherExpensePriorYear
Other Expenses Current Year58053205OtherExpensesCurrentYear
Total Expenses Prior Year90362666TotalExpensesPriorYear
Total Expenses Current Year98684437TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-20338279RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1309851RevenuesLessExpensesCY
Total Assets BOY1085066831TotalAssetsBOY
Total Assets EOY1628336993TotalAssetsEOY
Total Liabilities BOY1253216980TotalLiabilitiesBOY
Total Liabilities EOY1663159152TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-168150149NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-34822159NetAssetsOrFundBalancesEOY
Mission DescriptionPIEDMONT HEALTHCARE, INC., ("PHC") IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF, TO MANAGE THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF ITS SUBSIDIARY ORGANIZATIONS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense79464007Expense
Grants0Grants
Revenue99269853Revenue
DescriptionPIEDMONT HEALTHCARE, INC. ("PHC"), IS THE TAX-EXEMPT PARENT OF ITS PUBLICLY SUPPORTED SUBSIDIARIES (LISTED IN SCHEDULE R ATTACHED). PHC PROVIDES CENTRALIZED MANAGEMENT SERVICES TO ITS SUBSIDIARIES, INCLUDING ACCOUNTING, HUMAN RESOURCES, IT, FINANCIAL MANAGEMENT, AND ADVISORY SUPPORT. THESE CENTRALIZED SERVICES RESULT IN GREATER OPERATING EFFICIENCIES AND ALLOW ITS SUBSIDIARY ORGANIZATIONS TO BETTER PROVIDE OUTSTANDING HEALTHCARE AND EDUCATION TO THEIR SURROUNDING COMMUNITIES.Description
Total Program Service Expense79464007TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10961020NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1045NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARIE GAFFNEYNamePerson
Telephone Number6788426007TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12727 PACES FERRY RD BLDG 2 STE 70AddressLine1
CityATLANTACity
StateGAState
ZIP Code30339ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Dr Harry M McFarling III
Board Member2.06.0X12000498400
Ms Amy W Medendorp
Board Member2.00.0X000
Mr Charles J Jeff Mills
Board Member2.01.0X000
Mr Gregory B Morrison
Board Member2.00.0X000
Mr Roderick D Odom Jr
Board Member2.00.0X000
Dr Jay J Singh
Board Member2.02.0X0189750
Dr Ramon A Suarez
Board Member2.03.0X0303000
Dr Patrick M Battey
Int. CEO 7/2012-5/2013/Chair20.020.0X051894627685X
Mr R Timothy Stack
President & CEO thru 7/20120.00.0X3876633018203X
Ms Janine Brown
Vice Chairman2.00.0X000
Mr Kevin Brown
Pres & CEO as of May, 201354.01.0X000X
Dr William A Blincoe
Board Member2.038.0X056081433153
Dr Frank N Cole
Board Member2.038.0X053281527186
Mr Wm Ronald Duffey
Board Member2.01.0X000
Mr Michael D Garrett
Board Member2.00.0X000
Mr David G Hanna
Board Member2.00.0X000
Ms Lila Hertz
Board Member2.00.0X000
Mr Gregory A Hurst
Interim Pres 7/2012-5/2013/COO50.05.03697079049764X
Mr Charlie Hall
CFO/Tresurer48.07.06819550185689X
Mr Jay D Mitchell
General Counsel/Secretary48.07.0591859078751X
Dr Ronnie Brownsworth
CEO of Piedmont Clinic & PWHP15.040.07250350100555X
Ms Michele Molden
Chief Transformation Officer55.00.06760720249068X
Dr Leigh Hamby
Chief Medical & Quality Office55.00.0670020082069X
Mr Edward Lovern
Chief Administrative Officer55.00.0627648071215X
Mr Stephen Karasick
VP of Human Resources55.00.0933937025323X
Mr Sidney Kirschner
CEO - Piedmont Heart Institute0.055.0761483092742X
Ms Susan Holly Snow
VP of Government Affairs55.00.0606580040529X
Mr Michael Robertson
CEO of South Region0.055.0511608066653X
Mr Charles Scott
CEO of Piedmont Henry Hospital0.055.0509471066694X
Ms Debbie Gramling
Former Secretary55.00.0153231014589X
FieldValueIRS element (for citing)
Total Reportable Comp From Org15034611TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1711690TotalReportableCompFrmRltdOrgs
Total Other Compensation1229868TotalOtherCompensation
Number Individuals GT100 K195NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DELOITTE CONSULTING LLP
PO BOX 7247PHILADELPHIAPA197106447CONSULTING Services12143312
EVOLENT HEALTH
3101 WILSON BLVD STE 500ARLINGTONVA22201CONSULTING SERVICES4996876
MAXIT HEALTHCARE LLC
PO BOX 2589 LOCKBOX KKFORT WAYNEIN468012589CONSULTING SERVICES3377129
PRICEWATERHOUSECOOPERS
PO BOX 932011ATLANTAGA31193Consulting Services3250694
Navigant Consulting Inc
4511 Payshpere CircleCHICAGOIL60674Consulting Services3056565
FieldValueIRS element (for citing)
Number Of Contractors GT100 K70NumberOfContractorsGT100K
Government Grants53179GovernmentGrants
All Other Contributions268319AllOtherContributions
Total Contributions321498TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
COST OF CAPITAL ALLOCATION9000992002139420021394
MANAGEMENT SERVICES TO AFFILIATES5610007880996178809961
FieldValueIRS element (for citing)
Total Program Service Revenue98831355TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real736126Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real736126Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column736126TotalRevenueColumn
Related Or Exempt Function Income392054RelatedOrExemptFunctionIncome
Exclusion$344,072ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3872Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-3872Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3872TotalRevenueColumn
Exclusion-$3,872ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESEARCH REVENUE90009962737$62,737
FEES REVENUE9000994644446444
FieldValueIRS element (for citing)
Total Other Revenue109181TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column99994288TotalRevenueColumn
Related Or Exempt Function Income99269853RelatedOrExemptFunctionIncome
Exclusion$402,937ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total8560728Total
Program Services5564473ProgramServices
Management And General2996255ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total172456Total
Program Services172456ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27390108Total
Program Services17743211ProgramServices
Management And General9646897ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2929909Total
Program Services1904441ProgramServices
Management And General1025468ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1578031Total
Program Services1025720ProgramServices
Management And General552311ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3711580Total
Management And General3711580ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total605571Total
Management And General605571ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total257677Total
Management And General257677ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total424671Total
Management And General424671ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6970192Total
Program Services6970192ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total2711127Total
Program Services2711127ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9316265Total
Program Services9316265ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total119765Total
Program Services119765ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3409932Total
Program Services3409932ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total402896Total
Program Services402896ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total16904420Total
Program Services16904420ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12434427Total
Program Services12434427ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PHO ASSESSMENT457026457026
MISCELLANEOUS EXPENSES300062300062
MEDICAL EXPENSES2759427594

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total98684437Total
Program Services79464007ProgramServices
Management And General19220430ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY88429BOY
EOY65497EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3697482BOY
EOY6125579EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis191206385LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec83954283LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY65315818BOY
EOY107252102EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY88632510BOY
EOY88632510EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY927332592BOY
EOY1426261305EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1085066831BOY
EOY1628336993EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY93848643BOY
EOY34608871EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY30660BOY
EOY30660EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1798743BOY
EOY1600674EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1157538934BOY
EOY1626918947EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1253216980BOY
EOY1663159152EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-168150149BOY
EOY-34822159EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-168150149BOY
EOY-34822159EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1085066831BOY
EOY1628336993EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1309851ReconcilationRevenueExpenses
Reconciliation Unrealized Invest59813168ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment1553921ReconcilationPriorAdjustment
Reconcilation Other Changes70651050ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (6 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
PIEDMONT HOSPITAL INC
58056621303truetruetrue$10,986,524
FAYETTE COMMUNITY HOSPITAL INC DBA PIEDMONT FAYETTE HOSPITAL
58232232803truetruetrue$4,962,467
PIEDMONT MOUNTAINSIDE HOSPITAL INC
35222858303truetruetrue$811,502
PIEDMONT NEWNAN HOSPITAL INC
20507724903falsetruetrue$2,497,638
PIEDMONT HEART INSTITUTE INC
26355350003falsetruetrue$0
PIEDMONT HENRY HOSPITAL INC
58220019503falsetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs6TotalNumberOfSupportedOrgs
Sum Of Amounts19258131SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
End Of Year Balance0EndOfYearBalance
FieldValueIRS element (for citing)
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis820769OtherCostOrOtherBasis
Book Value820769BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7252695OtherCostOrOtherBasis
Depreciation4993697Depreciation
Book Value2258998BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5685404OtherCostOrOtherBasis
Depreciation725447Depreciation
Book Value4959957BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis154460191OtherCostOrOtherBasis
Depreciation78235139Depreciation
Book Value76225052BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22987326OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value22987326BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings107252102TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
FAYETTE COMMUNITY HOSPITAL43679729C
PIED MOUNTAINSIDE HOSPITAL43407781C
AMSTER-MCRAE INSURANCE COMPANY120000C
CENTER FOR HEALTH & LEARNING1425000C
FieldValueIRS element (for citing)
Total Of Book Value Program Related88632510TotalOfBookValueProgramRelated

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED PARTIES1403156838
OTHER CURRENT ASSETS5119863
DEFERRED DEBT COSTS102469
TENANT IMPROVEMENT RECEIVABLES6143076
EQUITY INVESTMENTS8635115
INVESTMENTS AT COST3103944
FieldValueIRS element (for citing)
Total Book Value Other Assets1426261305TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$1,626,918,947Amount
FieldValueIRS element (for citing)
Total Of Amounts1626918947TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierASC 740 FOOTNOTE (FKA FIN 48)Identifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationTHE COMPANY ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF THE INCOME TAXES TOPIC OF ASC (ASC 740). UNDER THE REQUIREMENTS OF ASC 740, TAX-EXEMPT ORGANIZATIONS MAY BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2013.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpendituresSpecific Services ProvidedSpecificServicesProvided
Central America and the CaribbeanInvestments54358442
Central America and the CaribbeanProgram Services14107407Insurance Premiums
FieldValueIRS element (for citing)
Subtotal Amount Spent68465849SubtotalAmountSpent
Total Amount Spent68465849TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mr Gregory A Hurst
Interim Pres 7/2012-5/2013/COO68415307574340225549203343701632703746843000
Mr Charlie Hall
CFO/Tresurer4193450138502012410801597740259150867644000
Mr Jay D Mitchell
General Counsel/Secretary40818101343320493460576760210750670610000
Dr Ronnie Brownsworth
CEO of Piedmont Clinic & PWHP463526015299101085180776180229370825590000
Ms Michele Molden
Chief Transformation Officer4140150137690012436702262280228400925140000
Dr Leigh Hamby
Chief Medical & Quality Office46408601536610522730627140193550752089000
Mr Edward Lovern
Chief Administrative Officer40612001302020913260563640148510698863000
Mr Stephen Karasick
VP of Human Resources304022011482105150940100000153230959260000
Mr Sidney Kirschner
CEO - Piedmont Heart Institute490804016274701079320614990312430854225000
Ms Susan Holly Snow
VP of Government Affairs20519305345203479350284920120370647109000
Mr Michael Robertson
CEO of South Region32835501391310441220515090151440578261000
Mr Charles Scott
CEO of Piedmont Henry Hospital3550960565530978220467100199840576165000
Dr Patrick M Battey
Int. CEO 7/2012-5/2013/Chair05136290005317015000012685054663100
Mr R Timothy Stack
President & CEO thru 7/20125884080444465028437600500001320303894836000
Dr William A Blincoe
Board Member05565500004264015000018153059396700
Dr Frank N Cole
Board Member05242460008569015000012186056000100
Ms Debbie Gramling
Former Secretary1399510926004020029950115940167820000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER COMPENSATION ITEMSSCHEDULE J, PART I, LINE 1AEXPENSES FOR FIRST-CLASS TRAVEL ARE PAID ON BEHALF OF CERTAIN EXECUTIVES. THESE ITEMS ARE NOT REPORTED ON THE EMPLOYEE'S FORM W-2, HOWEVER, THE COMPANY IS REIMBURSED FOR ANY PERSONAL EXPENSES INCURRED BY THE EMPLOYEE. THE FOLLOWING EMPLOYEES RECEIVED DISCRETIONARY SPENDING ACCOUNTS IN FIXED AMOUNTS DETERMINED BY JOB LEVEL. THESE SPENDING ACCOUNTS WERE INCLUDED IN EACH EMPLOYEE'S TAXABLE WAGES: R. TIMOTHY STACK GREGORY A. HURST CHARLIE HALL RONNIE BROWNSWORTH JAY MITCHELL MICHELE MOLDEN LEIGH HAMBY EDWARD LOVERN STEPHEN KARASICK SIDNEY KIRSCHNER G. MICHAEL ROBERTSON CHARLES SCOTT CHARLES SCOTT
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 4ASTEPHEN KARASICK AND SUSAN (HOLLY) SNOW RECEIVED SEVERANCE PAYMENTS IN THE AMOUNTS OF $489,478 AND $287,378, RESPECTIVELY.
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 4BGREGORY A. HURST AND R. TIMOTHY STACK RECEIVED PAYMENTS TOTALING $2,124,476 AND $2,489,280, RESPECTIVELY, FROM THEIR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS. THE FOLLOWING EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE CURRENT YEAR PAYMENTS: CHARLIE HALL JAY MITCHELL RONNIE BROWNSWORTH MICHELE MOLDEN LEIGH HAMBY EDWARD LOVERN SIDNEY KIRSCHNER SUSAN (HOLLY) SNOW MICHAEL ROBERTSON CHARLES SCOTT
NON-FIXED PAYMENTSSCHEDULE J, PART I, LINE 7R. TIMOTHY STACK AND GREGORY HURST PARTICIPATED IN A SUSTAINED EXCELLENCE AWARD PROGRAM ("SEAP"), WHICH IS A LONG-TERM INCENTIVE PROGRAM THAT INCLUDES A DEFERRAL OF A PORTION OF THE PARTICIPANT'S ANNUAL BONUS, A MATCHING CONTRIBUTION FROM THE ORGANIZATION, AND INTEREST EARNED ON THE AMOUNTS HELD IN THE ACCOUNT. DURING FY2013, MR. STACK RECEIVED PAYMENTS FROM HIS SEAP ACCOUNT TOTALING $654,653 AND MR. HURST RECEIVED PAYMENTS TOTALING $538,183.
OTHER INFORMATIONSCHEDULE J, PART II, LINE 2MR. R. TIMOTHY STACK, FORMER PRESIDENT & CEO OF PIEDMONT HEALTHCARE, PASSED AWAY IN JULY, 2012. HE WAS TEMPORARILY REPLACED BY MR. GREGORY A. HURST AND DR. PATRICK BATTEY, AND THEN PERMANENTLY REPLACED BY MR. KEVIN BROWN IN MAY, 2013. MR. BROWN DID NOT RECEIVE COMPENSATION FROM PIEDMONT HEALTHCARE OR ANY RELATED ENTITY DURING CALENDAR YEAR 2012.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Ms Janine Brown
Board Member138141Alston & Bird Legal Feesfalse
Ms Amy W Medendorp
Board Member5395958Interest Payments & Bank Feesfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IV, LINE 1ReturnReference
ExplanationMS. JANINE BROWN IS A PARTNER WITH ALSTON & BIRD LLP, AND A BOARD MEMBER OF PIEDMONT HEALTHCARE. THE AMOUNT OF $138,141 REPRESENTS INVOICES PAID BY PIEDMONT HEALTHCARE DURING FISCAL YEAR 2013 FOR LEGAL SERVICES PROVIDED BY ALSTON & BIRD AT FAIR MARKET VALUE. PAYMENTS WERE MADE ON BEHALF OF PHC AND ITS SUBSIDIARIES. MS. AMY W. MEDENDORP WAS A KEY EMPLOYEE OF SUNTRUST BANK THROUGH DECEMBER 31, 2012, AND A BOARD MEMBER OF PIEDMONT HEALTHCARE DURING FISCAL YEAR 2013. THE AMOUNT PAID TO SUNTRUST OF $5,395,958 REPRESENTS THE FAIR MARKET VALUE OF INTEREST PAYMENTS AND BANK FEES RELATED TO SWAP INVESTMENTS HELD BY SUNTRUST. PAYMENTS WERE MADE BY PHC ON BEHALF OF ITSELF AND ITS SUBSIDIARIES. MS. MEDENDORP, HOWEVER, DOES NOT SERVE ON THE BOARDS OF DIRECTORS FOR ANY OF THESE SUBSIDIARY ENTITIES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NUMBER OF FORMS 1099 FILEDFORM 990, PART V, LINE 1AIN CALENDAR YEAR 2012, PIEDMONT HEALTHCARE, INC. FILED FORMS 1099 ON BEHALF OF ITSELF AND EACH OF ITS SUBSIDIARIES (with the exception of Piedmont Henry Hospital), PURSUANT TO AN AGREEMENT WITH THE IRS TO FILE ALL FORMS 1099 FOR THE PIEDMONT HEALTHCARE SYSTEM ON A COMBINED BASIS.
DECISIONS OF GOVERNING BODYFORM 990, PART VI, SECTION A, LINE 7BALL RESOLUTIONS ADOPTED AND ALL BUSINESS TRANSACTED BY PHC'S BOARD OF DIRECTORS REQUIRES THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS PRESENT AT THE TIME OF VOTING, AS LONG AS A QUORUM (MAJORITY OF DIRECTORS CURRENTLY IN OFFICE) IS REPRESENTED AT THE MEETING.
990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BINFORMATION NEEDED TO PREPARE PIEDMONT HEALTHCARE'S FORM 990 IS COMPILED BY INDIVIDUALS IN THE ORGANIZATION'S FINANCE DEPARTMENT. THE INFORMATION IS THEN REVIEWED BY PHC'S CONTROLLER AND VP/CFO. THE 990 IS THEN PREPARED INTERNALLY BY PIEDMONT HEALTHCARE'S TAX COMPLIANCE MANAGER AND SUBMITTED TO AN EXTERNAL TAX PREPARER FOR REVIEW. COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS OF PIEDMONT HEALTHCARE PRIOR TO FILING.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY ORGANIZATION MANAGEMENT IN COORDINATION WITH PIEDMONT HEALTHCARE'S SENIOR VICE PRESIDENT OF COMPLIANCE. ALL SENIOR LEADERS, BOARD MEMBERS, PHYSICIAN EMPLOYEES, NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS AND EMPLOYEES AND NON-EMPLOYEES ENGAGED IN RESEARCH ARE REQUIRED TO ANNUALLY DISCLOSE ALL MATTERS WHICH COULD POTENTIALLY CONSTITUTE A CONFLICT OF INTEREST. MATTERS DISCLOSED UNDER THE POLICY MUST BE REVIEWED IN WRITING BY THE PIEDMONT HEALTHCARE CONFLICT OF INTEREST COMMITTEE IN ORDER TO DETERMINE WHETHER A CONFLICT EXISTS AND, IF SO, WHETHER TO ELIMINATE OR MANAGE THE CONFLICT. ALL BOARD MEMBERS AND EMPLOYEES OF PIEDMONT NEWNAN HOSPITAL ARE PROVIDED TRAINING ON CONFLICT OF INTEREST ISSUES, INCLUDING REPORTING REQUIREMENTS, AT NEW-EMPLOYEE ORIENTATION AND AT LEAST ANNUALLY THEREAFTER. NONCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY MUST BE REPORTED TO PIEDMONT HEALTHCARE'S SENIOR VICE PRESIDENT OF COMPLIANCE FOR INVESTIGATION, AND REMEDIAL STEPS MUST BE TAKEN AS APPROPRIATE UNDER THE PIEDMONT HEALTHCARE DISCIPLINARY POLICIES.
EXECUTIVE COMPENSATIONFORM 990, PART VI, SECTION B, LINE 15A & 15BTHE PIEDMONT HEALTHCARE, INC., BOARD OF DIRECTORS EXECUTIVE PERFORMANCE AND COMPENSATION COMMITTEE ("THE COMMITTEE") IS COMPOSED OF AT LEAST THREE MEMBERS, SERVING TERMS OF THREE YEARS, AND THE MAJORITY OF WHICH ARE COMMUNITY DIRECTORS WHO GENERALLY DO NOT HAVE CONFLICTS OF INTEREST RELATED TO FULFILLMENT OF THE DUTIES AS OUTLINED BELOW. THE COMMITTEE HAS BEEN AUTHORIZED BY THE PIEDMONT HEALTHCARE BOARD OF DIRECTORS TO PERFORM THE FOLLOWING FUNCTIONS: -SELECT AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT ("THE CONSULTANT"). THE COMMITTEE CURRENTLY UTILIZES TOWERS WATSON FOR EXECUTIVE COMPENSATION CONSULTING SERVICES. -WORK WITH THE PRESIDENT/CEO TO FORMULATE AND IMPLEMENT ANNUAL PERFORMANCE OBJECTIVES. THE COMMITTEE MEETS ANNUALLY WITH PIEDMONT HEALTHCARE'S CEO AND KEY SENIOR EXECUTIVES. -TO REVIEW AND APPROVE EXECUTIVE PERFORMANCE OBJECTIVES FOR THE FISCAL YEAR. -ANNUALLY ASSESS PRESIDENT/CEO PERFORMANCE. THE COMMITTEE MEETS ANNUALLY WITH THE CEO AND KEY SENIOR EXECUTIVES. -TO REVIEW THE ACCOMPLISHMENTS OF THE EXECUTIVE PERFORMANCE OBJECTIVES AFTER THE CLOSE OF THE FISCAL YEAR. -ASSESS AND IMPLEMENT POLICIES REGARDING PRESIDENT/CEO PERFORMANCE AND COMPENSATION. THE COMMITTEE HAS DEVELOPED AN EXECUTIVE COMPENSATION PHILOSOPHY AND REVIEWS THE PHILOSOPHY ANNUALLY. THE COMMITTEE SEEKS INPUT AND GUIDANCE FROM THE CONSULTANT TO ENSURE THAT THE PHILOSOPHY IS REASONABLE AND COMPARABLE TO THAT OF SIMILAR ORGANIZATIONS. -APPROVE LONG- AND SHORT-TERM GOALS TO BE USED IN CONNECTION WITH EXECUTIVE STAFF COMPENSATION PROGRAM AS RECOMMENDED BY THE PRESIDENT/CEO AND VALIDATED BY THE COMPENSATION CONSULTANT. THE COMMITTEE MEETS ANNUALLY WITH THE CEO AND KEY SENIOR EXECUTIVES AS WELL AS THE CONSULTANT TO REVIEW SALARY ADJUSTMENTS AND INCENTIVE PAY FOR THE CEO, SENIOR EXECUTIVES, AND EXECUTIVES THROUGHOUT THE ORGANIZATION. THE COMMITTEE MEETS WITH THE CONSULTANT ANNUALLY TO RECEIVE INPUT AND RECOMMENDATIONS TO ENSURE THAT SALARY ADJUSTMENTS, INCENTIVES, AND BENEFITS ARE REASONABLE AND COMPARABLE TO THOSE OF LIKE ORGANIZATIONS. -PERFORM ANY TASKS RELATED TO EXECUTIVE PERFORMANCE AND COMPENSATION, INCLUDING BUT NOT LIMITED TO, APPROVAL OF EXECUTIVE EMPLOYMENT CONTRACTS, AND EXECUTIVE BENEFITS. THE COMMITTEE SEEKS INPUT FROM THE CONSULTANT, AS WELL AS EXTERNAL LEGAL ADVISORS, WHEN IT IS NECESSARY TO DEVELOP AND/OR AMEND EXECUTIVE EMPLOYMENT CONTRACTS AND BENEFITS.
DISCLOSURE OF GOVERNING, CONFLICT OF INTEREST, AND FINANCIAL DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS SHOULD BE REQUESTED FROM PIEDMONT HEALTHCARE, INC'S LEGAL COUNSEL.
COMPENSATION OF OFFICERS AND DIRECTORS, CHANGE IN PRESIDENT/CEOFORM 990, PART VIIMR. R. TIMOTHY STACK, FORMER PRESIDENT & CEO OF PIEDMONT HEALTHCARE, PASSED AWAY IN JULY, 2012. HE WAS TEMPORARILY REPLACED BY MR. GREGORY A. HURST AND DR. PATRICK BATTEY, AND THEN PERMANENTLY REPLACED BY MR. KEVIN BROWN IN MAY, 2013. MR. BROWN DID NOT RECEIVE COMPENSATION FROM PIEDMONT HEALTHCARE OR ANY RELATED ENTITY DURING CALENDAR YEAR 2012.
BALANCE SHEET - BEGINNING OF YEAR BALANCESFORM 990, PART X, COLUMN ASOME BEGINNING BALANCES WERE RECLASSIFIED FOR PRESENTATION PURPOSES ONLY.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 9CHANGES TO NET ASSETS REPORTED ON PART XI, LINE 9 ARE PRIMARILY COMPRISED OF A $63,920,078 INTERCOMPANY TRANSFER OF LIABILITIES FROM THE ORGANIZATION TO ITS SUBSIDIARY PIEDMONT HOSPITAL; $(254,279) OF BOOK/TAX DIFFERENCES RELATED TO REVENUE RECOGNITION; AND A $6,985,251 CHANGE IN EQUITY INVESTMENTS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Piedmont Hospital Inc
1968 Peachtree Road NWAtlantaGA30309580566213HospitalGA501(c)(3)3PHCtrue
FAYETTE COMMUNITY HOSPITAL INC
1255 Highway 154 WestFayettevilleGA30214582322328HospitalGA501(c)(3)3PHCtrue
Piedmont Mountainside Hospital INC
1266 Highway 515 SouthJasperGA30143352228583HospitalGA501(c)(3)3PHCtrue
Piedmont Newnan Hospital INC
745 POPLAR ROADNewnanGA30265205077249HospitalGA501(c)(3)3PHCtrue
Piedmont HEALTHCARE Foundation INC
1968 Peachtree Road NWAtlantaGA30309581272768FundraisingGA501(c)(3)11 DPHCtrue
Piedmont Heart Institute Inc
95 COLLIER ROAD NW STE 2045AtlantaGA30309263553500HealthcareGA501(c)(3)7PHCtrue
PIEDMONT HENRY HOSPITAL INC
1133 EAGLES LANDING PARKWAYSTOCKBRIDGEGA30281582200195HOSPITALGA501(c)(3)3PHCtrue
Henry Development Ventures Inc
1133 EAGLES LANDING PARKWAYStockbridgeGA30281582200734RE HoldingGA501(c)(2)N/APHHfalse
Center for Health and Learning Inc
3001 Mercer University DriveAtlantaGA30341262442849EducationGA501(c)(3)11 ANAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
Piedmont Medical Care Corporation
2727 Paces Ferry Road suite 1-1100AtlantaGA30339582092768HealthcareGAPHCC-CORP1802945673236932891.00000true
THE PIEDMONT CLINIC INC
2727 Paces Ferry Road suite 1-1100AtlantaGA30339582005358HealthcareGAPHCC-CORP6427879179338871.00000true
PIEDMONT HEART INSTITUTE PHYSICIANS INC
95 COLLIER ROAD NW STE 2045AtlantaGA30309260593850HealthcareGAPHCC-CORP844924681187259871.00000true
Amster McRae Insurance Company
Related InsurancePHCC-CORP16030248543584421.00000truePO BOX 1159Grand CaymanGrand CaymanCJKY 1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
PIEDMONT HOSPITAL INC
P62485926ACTUAL
FAYETTE COMMUNITY HOSPITAL INC
P16324170ACTUAL
PIEDMONT MEDICAL CARE CORPORATION
A344072ESTIMATE
PIEDMONT HOSPITAL INC
E1600674ACTUAL
PIEDMONT HOSPITAL INC
A392054ESTIMATE
Piedmont Henry Hospital Inc
D60073741Actual